Fair Oaks Medical Center Dpp

LBN: Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc.
Fair Oaks Medical Center Dpp is an health care organization with primary practice located at 12255 Fair Lakes Pkwy , Fairfax VA 22033-3952. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc. can be contacted via phone (703) 934-5700, or through Butz, Joseph T via phone (301) 816-5867.

Contact Information

Primary practice address
12255 Fair Lakes Pkwy Fairfax VA 22033-3952
Phone: (703) 934-5700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Butz, Joseph T
Phone: (301) 816-5867

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1114565298
LBN Legal business name Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc.
DBA Doing business as Fair Oaks Medical Center Dpp
Authorized official Butz, Joseph T
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 19th, 2019
Last updated May 26th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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